Weerawat Tananusont, is a medicare enrolled "Hospitalist" physician in Dededo, Guam. He graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Providence Health And Services Washington and his current practice location is
133 Route 3, Dededo, Guam. You can reach out to his office (for appointments etc.) via phone at
(671) 645-5500.
Weerawat Tananusont is licensed to practice in Guam (license number M-2047) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1720226202.
Physician's Profile
| Full Name | Weerawat Tananusont |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 21 Years |
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| Location | 133 Route 3, Dededo, Guam |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Weerawat Tananusont graduated from medical school in 2003
NPI Data:
- NPI Number: 1720226202
- Provider Enumeration Date: 01/22/2009
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 6800065319
- Enrollment ID: I20230905001969
Medical Identifiers
Medical identifiers for Weerawat Tananusont such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720226202 | NPI | - | NPPES |
| 16101 | Medicaid | ND | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | M-2047 (Guam) | Secondary |
| 207R00000X | Internal Medicine | 11942 (North Dakota) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 208M00000X | Hospitalist | M-2047 (Guam) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Providence Health And Services Washington | 6709782600 | 387 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Weerawat Tananusont allows following entities to bill medicare on his behalf.
| Entity Name | Providence Health & Services Washington |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174744304
PECOS PAC ID: 6709782600
Enrollment ID: O20031211000028 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Weerawat Tananusont is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Weerawat Tananusont,
133 Route 3,
Dededo, GU 96929-6911
Ph: (671) 645-5500 | Weerawat Tananusont,
133 Route 3,
Dededo, GU 96929-6911
Ph: (671) 645-5500 |
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